摘要
目的研究低位直肠癌病人腹腔镜手术中盆底腹膜关闭的应用效果。方法将安阳市第六人民医院2017年1月至2018年1月收治的50例低位直肠癌病人作为研究对象。采用随机数字表法分为对照组(25例)和观察组(25例)。对照组在腹腔镜手术后不关闭盆底腹膜,观察组在腹腔镜手术后关闭盆底腹膜。观察两组病人手术时间、造口所用时间、骶前引流量、术中出血量、生活质量、局部复发率、生存率及并发症的差异。结果两组病人的骶前引流量、切口感染及术中出血量差异无统计学意义(P>0.05);而观察组的手术时间(228.31±24.49)min显著长于对照组(187.23±27.33)min,两组差异有统计学意义(P<0.05)。两组病人总体生存、无病生存、局部复发及局部复发小肠受累率差异无统计学意义(P>0.05)。观察组总并发症发生率(4.0%)与对照组(28.0%)相比,明显低于对照组,两组差异有统计学意义(P<0.05)。结论腹腔镜手术术中盆底腹膜关闭安全可行,明显减少并发症,在临床中具有实用价值。
Objective To observe the effect of pelvic floor peritoneum closure during laparoscopic surgery in patients with low rec⁃tal cancer.Methods A total of 50 cases admitted to Anyang Sixth People’s Hospital from January 2017 to January 2018 were di⁃vided into the observation group(25 cases)and the control group(25 cases).Laparoscopic surgery was applied in both groups.The control group was given pelvic floor peritoneum without closure while the observation group received pelvic floor peritoneum clo⁃sure.The operative time,stoma time,presacral drainage volume,intraoperative blood loss,quality of life,local recurrence rate,surviv⁃al rate and complications in the two groups were observed.Results Presacral drainage,incisional infection and intraoperative blood loss of the two groups were not significantly different(P>0.05),while operation time(228.31±24.49)min of the observation group was longer than that of the control group(187.23±27.33)min,the difference was statistically significant(P<0.05).There was no significant difference in overall survival,disease⁃free survival,local survival and local recurrence of small bowel involvement between the two groups(P<0.05).Incidence of total complications(4.0%)of the observation group was lower than that of the con⁃trol group,the difference was statistically significant(P<0.05).Conclusion Pelvic floor peritoneal closure during laparoscopic surgery is safe and feasible,and can reduce complications,which has practical value in clinical practice.
作者
王振宇
舒新成
吕洪彬
WANG Zhenyu;SHU Xincheng;LYU Hongbin(Department of General Surgery,Anyang Sixth People’s Hospital,Anyang,Henan 455000,China)
出处
《安徽医药》
CAS
2020年第1期141-143,共3页
Anhui Medical and Pharmaceutical Journal
